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f McCampbell Analytical, �nC 1534 Willow Pass Road, Pittsburg, CA 94565-1701 Web: www.mccampbell.com E-mail: main@mccampbell.com "When Oualit\ Counts" Telephone: 877-252-9262 Fax: 925-252-9269 Sample Receipt Checklist Client Name: Geo Restoration, Inc. Project Name: #0837; Lodi Chrome, 316 N. Main St WorkOrder N°: 0903369 Matrix Soil Date and Time Received: 3/13/2009 6:47:28 PM Checklist completed and reviewed by: Ana Venegas Carrier: Derik Cartan (MAI Courier) Chain of Custody (COC) Information Chain of custody present? Yes © No ❑ Chain of custody signed when relinquished and received? Yes 0 No ❑ Chain of custody agrees with sample labels? Yes ❑ No ❑ Sample IDs noted by Client on COC? Yes © No ❑ Date and Time of collection noted by Client on COC? Yes❑ Samples Received on Ice? No ❑ Sampler's name noted on COC? Yes R1 No ❑ Custody seals intact on shipping container/cooler? Shipping container/cooler in good condition? Samples in proper containers/bottles? Sample containers intact? Sufficient sample volume for indicated test? Sample Receipt Information Yes ❑ No ❑ Yes t✓❑ No ❑ Yes 0 No ❑ Yes No ❑ Yes Q No ❑ NA d❑ Sample Preservation and Hold Time INTI Information All samples received within holding time? Yes R1 No ❑ Container/Temp Blank temperature Cooler Temp: 5.6°C NA ❑ Water - VOA vials have zero headspace / no bubbles? Yes ❑ No ❑ No VOA vials submitted R1 Sample labels checked for correct preservation? Yes R1 No ❑ TTLC Metal - pH acceptable upon receipt (pH<2)? Yes ❑ No ❑ NA RI Samples Received on Ice? Yes R1 No ❑ (Ice Type: WET ICE . NOTE. If the "No" box is checked, see comments below. Client contacted: Comments: Date contacted: Contacted by: